Effect of eHealth-delivered exercise programmes on balance in people aged 65 years and over living in the community: a systematic review and meta-analysis of randomised controlled trials
Introduction Exercise that challenges balance is proven to prevent falls in community-dwelling older people, yet widespread implementation and uptake of effective programmes is low. This systematic review and meta-analysis synthesised the evidence and evaluated the effect of eHealth-delivered exerci...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2022-06-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/12/6/e051377.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832574948963516416 |
|---|---|
| author | Corneel Vandelanotte Anne Tiedemann Kim Delbaere Stephanie Alley Meghan Ambrens Juliana S Oliveira Quyen To |
| author_facet | Corneel Vandelanotte Anne Tiedemann Kim Delbaere Stephanie Alley Meghan Ambrens Juliana S Oliveira Quyen To |
| author_sort | Corneel Vandelanotte |
| collection | DOAJ |
| description | Introduction Exercise that challenges balance is proven to prevent falls in community-dwelling older people, yet widespread implementation and uptake of effective programmes is low. This systematic review and meta-analysis synthesised the evidence and evaluated the effect of eHealth-delivered exercise programmes compared with control on balance in community-dwelling people aged ≥65 years.Methods Nine databases including MEDLINE, CINAHL and Embase, were searched from inception to January 2022 to identify randomised controlled trials evaluating eHealth-delivered exercise programmes for community-dwelling people aged ≥65 years, published in English that included a balance outcome. Primary outcomes were static and dynamic balance. Secondary outcomes included fall risk and fear of falling. We calculated standardised mean differences (SMDs, Hedges’ g) with 95% CIs from random effects meta-analyses.Results We identified 14 eligible studies that included 1180 participants. Methodological quality ranged from 3 to 8 (mean, 5). The pooled effect indicated that eHealth-delivered exercise programmes have a medium significant effect on static balance (11 studies; SMD=0.62, 95% CI 0.27 to 0.72) with very low-quality evidence. There was small statistically significant effect on dynamic balance (14 studies; SMD=0.42, 95% CI 0.11 to 0.73) with very low-quality evidence, and fall risk (5 studies; SMD=0.32, 95% CI 0.00 to 0.64) with moderate-quality evidence. No significant effect of eHealth programmes on fear of falling was found (four studies; SMD=0.10, 95% CI −0.05 to 0.24; high-quality evidence).Conclusion This review provides preliminary evidence that eHealth-delivered exercise programmes improved balance and reduced fall risk in people aged ≥65 years. There is still uncertainty regarding the effect of eHealth delivered exercise programmes on fear of falling.PROSPERO registration number CRD42018115098. |
| format | Article |
| id | doaj-art-fa7d232afbc74081b173127f737996c7 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-fa7d232afbc74081b173127f737996c72025-02-01T12:30:12ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-051377Effect of eHealth-delivered exercise programmes on balance in people aged 65 years and over living in the community: a systematic review and meta-analysis of randomised controlled trialsCorneel Vandelanotte0Anne Tiedemann1Kim Delbaere2Stephanie Alley3Meghan Ambrens4Juliana S Oliveira5Quyen To61 Physical Activity Research Group, School of Health, Medical and Applied Science, Central Queensland University, Rockhampton, Queensland, Australia2 Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, NSW, Australia1 Falls, Balance and Injury Research Centre, Neuroscience Research Australia, Randwick, New South Wales, AustraliaSchool of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, Queensland, AustraliaNeuroscience Research Australia, Randwick, New South Wales, Australia1 Sydney Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia1 Appleton Institute, Central Queensland University, Rockhampton, Queensland, AustraliaIntroduction Exercise that challenges balance is proven to prevent falls in community-dwelling older people, yet widespread implementation and uptake of effective programmes is low. This systematic review and meta-analysis synthesised the evidence and evaluated the effect of eHealth-delivered exercise programmes compared with control on balance in community-dwelling people aged ≥65 years.Methods Nine databases including MEDLINE, CINAHL and Embase, were searched from inception to January 2022 to identify randomised controlled trials evaluating eHealth-delivered exercise programmes for community-dwelling people aged ≥65 years, published in English that included a balance outcome. Primary outcomes were static and dynamic balance. Secondary outcomes included fall risk and fear of falling. We calculated standardised mean differences (SMDs, Hedges’ g) with 95% CIs from random effects meta-analyses.Results We identified 14 eligible studies that included 1180 participants. Methodological quality ranged from 3 to 8 (mean, 5). The pooled effect indicated that eHealth-delivered exercise programmes have a medium significant effect on static balance (11 studies; SMD=0.62, 95% CI 0.27 to 0.72) with very low-quality evidence. There was small statistically significant effect on dynamic balance (14 studies; SMD=0.42, 95% CI 0.11 to 0.73) with very low-quality evidence, and fall risk (5 studies; SMD=0.32, 95% CI 0.00 to 0.64) with moderate-quality evidence. No significant effect of eHealth programmes on fear of falling was found (four studies; SMD=0.10, 95% CI −0.05 to 0.24; high-quality evidence).Conclusion This review provides preliminary evidence that eHealth-delivered exercise programmes improved balance and reduced fall risk in people aged ≥65 years. There is still uncertainty regarding the effect of eHealth delivered exercise programmes on fear of falling.PROSPERO registration number CRD42018115098.https://bmjopen.bmj.com/content/12/6/e051377.full |
| spellingShingle | Corneel Vandelanotte Anne Tiedemann Kim Delbaere Stephanie Alley Meghan Ambrens Juliana S Oliveira Quyen To Effect of eHealth-delivered exercise programmes on balance in people aged 65 years and over living in the community: a systematic review and meta-analysis of randomised controlled trials BMJ Open |
| title | Effect of eHealth-delivered exercise programmes on balance in people aged 65 years and over living in the community: a systematic review and meta-analysis of randomised controlled trials |
| title_full | Effect of eHealth-delivered exercise programmes on balance in people aged 65 years and over living in the community: a systematic review and meta-analysis of randomised controlled trials |
| title_fullStr | Effect of eHealth-delivered exercise programmes on balance in people aged 65 years and over living in the community: a systematic review and meta-analysis of randomised controlled trials |
| title_full_unstemmed | Effect of eHealth-delivered exercise programmes on balance in people aged 65 years and over living in the community: a systematic review and meta-analysis of randomised controlled trials |
| title_short | Effect of eHealth-delivered exercise programmes on balance in people aged 65 years and over living in the community: a systematic review and meta-analysis of randomised controlled trials |
| title_sort | effect of ehealth delivered exercise programmes on balance in people aged 65 years and over living in the community a systematic review and meta analysis of randomised controlled trials |
| url | https://bmjopen.bmj.com/content/12/6/e051377.full |
| work_keys_str_mv | AT corneelvandelanotte effectofehealthdeliveredexerciseprogrammesonbalanceinpeopleaged65yearsandoverlivinginthecommunityasystematicreviewandmetaanalysisofrandomisedcontrolledtrials AT annetiedemann effectofehealthdeliveredexerciseprogrammesonbalanceinpeopleaged65yearsandoverlivinginthecommunityasystematicreviewandmetaanalysisofrandomisedcontrolledtrials AT kimdelbaere effectofehealthdeliveredexerciseprogrammesonbalanceinpeopleaged65yearsandoverlivinginthecommunityasystematicreviewandmetaanalysisofrandomisedcontrolledtrials AT stephaniealley effectofehealthdeliveredexerciseprogrammesonbalanceinpeopleaged65yearsandoverlivinginthecommunityasystematicreviewandmetaanalysisofrandomisedcontrolledtrials AT meghanambrens effectofehealthdeliveredexerciseprogrammesonbalanceinpeopleaged65yearsandoverlivinginthecommunityasystematicreviewandmetaanalysisofrandomisedcontrolledtrials AT julianasoliveira effectofehealthdeliveredexerciseprogrammesonbalanceinpeopleaged65yearsandoverlivinginthecommunityasystematicreviewandmetaanalysisofrandomisedcontrolledtrials AT quyento effectofehealthdeliveredexerciseprogrammesonbalanceinpeopleaged65yearsandoverlivinginthecommunityasystematicreviewandmetaanalysisofrandomisedcontrolledtrials |